HomeMy Public PortalAbout8600 HERMOSA DR_Certificate of Occupancy__ 76A662-CE992 6/7I fl
APPLICATION FOR OCCUPANCY INSPECTION IILUIII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER .
BUILDING AND SAFETY DIVISION BUILDING (J
HARVEY T. SRANDT, COUNTY ENGINEER ADDRESS / ) 6
COLEMAN W. JENKINS, SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.
BUILDING DISTR� NO. _ PR CESSE BY /7
ADDRESS GJOO
LOT NO. BLOCK USE ZONE MAP
NO.
IflPECIAL
TRACT SIZE OF LOT CONDTIONS
TEL
OWNERNO.
j Oro l BLDG. SETBACK FROM
ADDRESS
FRONT TBAC INE OF (STREET)
TYPE OF IXIINI SETBKCITY �[y�.-� `�J HIG.w Y EWSTTNG Fp . LL, HIGHWAY + YARD = TOTAL
SIZE OF N0. OF
EXISTING BLDG. STORIES I +
PRESENT USE OF BUILDING BLDG. SETBACK FR
SIDE PROP.LINE OF (STREET)
TvPE of ExlBnrvG 6Ei BACX HIGHWAY YARD = TOTAL
H I GNWIY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE / + _
T
Cl-
CORNER
CORNER CUTOFF VES❑ NO ❑ U
N0. PARKING
SPACES PROVIDED C
OCCUPANCY GROUP CD
w
d
PROPOSED USE OF BUILDING ¢¢ OCCUPANT LOAD Z_
aGc,d EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX..OCC. NO. OF EXITS
PARKING . REQ-0 D PROVIDED D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF
APPLICANT.
ADDRESS
APPROVAL GATE INSPECTOR'S
ZIP SIGNATURE
PHONE FINAL APPROVAL
�7Z
'JOHN F. LEWIS, PRI CIP L ST AL ENGINEER
APPLICATION VALI ION CK. M.O. CASH
LACD7 3 T 6- .ALIS 3 2 2 A 1 8.00~ Q